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<title>Estimated Closing Costs</title>
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		<td colspan="4" align="center">Estimated Closing Costs</td>
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		<td colspan="4" align="center">Household Title &amp; Escrow, LLC<br />
      Phone: 1-877-238-8700 Fax: 1-877-238-8701<br />
      Email: orders@householdtitle.com<br />
    www.householdtitle.com</td>
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		<td align="right">Transaction type:</td>
		<td>[TRANSACTIONTYPE]</td>
		<td align="right">&nbsp;</td>
		<td>&nbsp;</td>
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		<td align="right">State:</td>
		<td>[STATE]</td>
		<td align="right">&nbsp;</td>
		<td>&nbsp;</td>
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		<td align="right">County:</td>
		<td>[COUNTY]</td>
		<td align="right">Locale:</td>
		<td>[LOCALE]</td>
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		<td align="right">[Primary Residence]:</td>
		<td>[PRIMARYRESIDENT]</td>
		<td align="right">&nbsp;</td>
		<td>&nbsp;</td>
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		<td align="right">1st Loan Amount:</td>
		<td>[LOAN1]</td>
		<td align="right">2nd Loan Amount:</td>
		<td>[LOAN2]</td>
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		<td align="right">[Principal balance #1 to be paid off]:</td>
		<td>[PAIDOFF1]</td>
		<td align="right">Principal balance #2 to be paid off]:</td>
		<td>[PAIDOFF2]</td>
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		<td align="right">Same lender:</td>
		<td>[SAMELENDER]</td>
		<td>&nbsp;</td>
		<td>&nbsp;</td>
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